53 research outputs found

    Brucella ceti infection in dolphins from the Western Mediterranean sea

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    Background: Brucella ceti infections have been increasingly reported in cetaceans. Brucellosis in these animals is associated with meningoencephalitis, abortion, discospondylitis’, subcutaneous abscesses, endometritis and other pathological conditions B. ceti infections have been frequently described in dolphins from both, the Atlantic and Pacific Oceans. In the Mediterranean Sea, only two reports have been made: one from the Italian Tyrrhenian Sea and the other from the Adriatic Sea. Results: We describe the clinical and pathological features of three cases of B. ceti infections in three dolphins stranded in the Mediterranean Catalonian coast. One striped dolphin had neurobrucellosis, showing lethargy, incoordination and lateral swimming due to meningoencephalitis, A B. ceti infected bottlenose dolphin had discospondylitis, and another striped dolphin did not show clinical signs or lesions related to Brucella infection. A detailed characterization of the three B. ceti isolates was performed by bacteriological, molecular, protein and fatty acid analyses. Conclusions: All the B. ceti strains originating from Mediterranean dolphins cluster together in a distinct phylogenetic clade, close to that formed by B. ceti isolates from dolphins inhabiting the Atlantic Ocean. Our study confirms the severity of pathological signs in stranded dolphins and the relevance of B. ceti as a pathogen in the Mediterranean Sea

    Variation in postoperative outcomes of patients with intracranial tumors: insights from a prospective international cohort study during the COVID-19 pandemic

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    Background: This study assessed the international variation in surgical neuro-oncology practice and 30-day outcomes of patients who had surgery for an intracranial tumor during the COVID-19 pandemic. Methods: We prospectively included adults aged ≥18 years who underwent surgery for a malignant or benign intracranial tumor across 55 international hospitals from 26 countries. Each participating hospital recorded cases for 3 consecutive months from the start of the pandemic. We categorized patients’ location by World Bank income groups (high [HIC], upper-middle [UMIC], and low- and lower-middle [LLMIC]). Main outcomes were a change from routine management, SARS-CoV-2 infection, and 30-day mortality. We used a Bayesian multilevel logistic regression stratified by hospitals and adjusted for key confounders to estimate the association between income groups and mortality. Results: Among 1016 patients, the number of patients in each income group was 765 (75.3%) in HIC, 142 (14.0%) in UMIC, and 109 (10.7%) in LLMIC. The management of 200 (19.8%) patients changed from usual care, most commonly delayed surgery. Within 30 days after surgery, 14 (1.4%) patients had a COVID-19 diagnosis and 39 (3.8%) patients died. In the multivariable model, LLMIC was associated with increased mortality (odds ratio 2.83, 95% credible interval 1.37–5.74) compared to HIC. Conclusions: The first wave of the pandemic had a significant impact on surgical decision-making. While the incidence of SARS-CoV-2 infection within 30 days after surgery was low, there was a disparity in mortality between countries and this warrants further examination to identify any modifiable factors

    Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

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    Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

    Extraction of soil metals by delute hydrochloric acid; an alternative to sequential extration for estimation of available metal contents in urban soils?

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    2 páginas, 1 figura y 4 referencias. Poster contritbutions- SO-55.4 en el VIII International symposium on analytical methodology in the environmental field. XIII Reunión de la Sociedad española de química analítica, VIII ISAMEF/SEQA 2003. University of A Coruña October 21-24, 2003.Although the total contents of toxic metals in soils are generally used for estimation of the degree of pollution of a given site, on1y a fraction of the metal content is likely to have a significant role in environmental processes. Also, in many cases of moderate pollution a decrease in metal availabi1ity in soil may be feasib1e using relatively cheap techniques, whi1e a decrease in the total contents requires much more difficult treatments and their application is often questionable. Therefore, obtaining a good estimate of metal availability is of the utmost importance in soils with re1atively high total contents. Extraction with EDTA is usually considered an estimate of metal avai1abi1ity in soi1s (Quevauviller et al., 1997). The technique proposed by the European IRMM for sequentia1 extraction of meta1s in soi1s distinguishes 3 fractions (Rauret et al., 1999), whi1e those metal forms not inc1uded in them are considered of no environmenta1 significance. Sutherland (2002) proposed a simp1er extraction with 0.05 M HCl as a good ana1ytica1 assessment of metal pollution.Xunta de Galicia: Consellería de Medio Ambiente. Dirección Xeral do Centro de Desenvolvemento Sostible. Xunta de Galicia: Consellería de Innovación, de Industria e Comercio. Dirección Xeral de Investigación e Desenvolvemento. Xunta de Galicia: Consellería de Educación e Ordenación Universitaria. Dirección Xeral de Universidades. Ministerio de Ciencia y Tecnología. Dirección General de Investigación. Excma. Diputación Provincial de A Coruña. Excmo. Ayuntamiento de A Coruña REPSOL, YPF, ENDESA GENERACIÓN, SIR, ENCE, GAIRESA, UNIÓN FENOSA, TIRME.Peer reviewe

    Concentrations of potentially toxic metals in urban soils of Seville: Relationship with different land uses

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    Fifty-two samples of surface soils were taken in the urban area of Seville, to assess the possible influence of different land uses on their metal contents and their relationship with several soil properties. The samples corresponded to five categories or land uses: Agricultural, parks, ornamental gardens, riverbanks, and roadsides. Sequential extraction of metal according to the procedure proposed by the former Community Bureau of Reference (BCR) was carried out, and pseudo-total (aqua regia soluble) metal contents were determined. Lower organic C, total N and available P and K contents were found in riverbank samples, probably due to the lack of manuring of those sites, left in a natural status. In contrast, significantly higher electrical conductivity was found in those sites, due to the tidal influence of the nearby Atlantic Ocean. Other land uses did not show significant differences in the general properties. Concentrations of Cu, Pb and Zn, both aqua-regia soluble and sequentially extracted, were clearly higher in soils from ornamental gardens, whereas the concentrations in the riverbank samples were slightly lower than the other categories. In contrast, other metals (Cd, Cr, Fe, Mn, Ni) were uniformly distributed throughout all land uses. A strong statistical association is found among the concentrations of Cu, Pb, Zn and organic C, suggesting that the larger contents of these metals in ornamental gardens are partly due to organic amendments added to those sites more frequently than to other kinds of sites. Considering the conclusions of previous studies, heavy traffic can also contribute to those 'urban' metals in urban soils. Periodic monitoring of the concentrations of urban metals in busy city centres and of the quality of amendments added to soils of recreational areas are recommended.The authors wish to acknowledge the financial help of the European Commission to the project URBSOIL under contract No. EVK4-CT-2001- 00053, and of the former Ministerio de Ciencia y Tecnoloía of Spain to project no. REN2002– 03309/TECNO.Peer Reviewe

    Recruitment as a possible indicator of declining resilience in degraded kelp forests

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    Kelp forests are critical marine ecosystems that provide habitat and ecological services, as well as economic benefits. However, kelp forests worldwide are facing multiple pressures, including climate change and human activities. In this study, we investigated whether recruitment success, an infrequently recorded variable in kelp monitoring studies, was affected in degraded kelp reefs where adult golden kelps (Laminaria ochroleuca) were persistently absent due to fish consumption. We conducted a three-year seasonal monitoring of kelp recruits and juveniles in both healthy and degraded kelp reefs in northwest Spain. Our findings reveal a decline in spring kelp recruitment over time on degraded reefs, while it remained stable on healthy reefs. The results indicate that continued herbivory pressure can decrease kelp recruitment, suggesting the potential exhaustion of kelp stand resilience. Altogether, our study highlights the importance of biotic interactions, such as herbivory, in understanding changes in kelp forest dynamics. Moreover, it emphasizes the significance of including recruitment in kelp forest assessments as an indicator of resilience
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